Individual provider Active NPI

Victoria Leigh Lewallen, LPC, LSOTP

  • Counselor
  • Round Rock, TX
National Provider Identifier
1427678572
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
77468 Issued in TX
Practice address
1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094
Phone
(817) 565-7596
Fax
(512) 503-3991
NPI assigned
Apr 18, 2020
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77468 TX Primary

Addresses

Primary practice location

1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094

Mailing address

1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094
Phone (817) 565-7596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
77468TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lewallen Counseling Services PLLC Current Accepting new patients

Locations

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (318) 451-2137

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1427678572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "817-565-7596",
            "fax_number": "512-503-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "817-565-7596",
            "fax_number": "512-503-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "VICTORIA",
        "middle_name": "LEIGH",
        "credential": "LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.